1. Culture surveys in 1000 Lives Plus
9th May 2011
Culture surveys in 1000 Lives Plus
Presenter: Tim Heywood
Culture surveys in 1000 Lives Plus

2. Why are we interested in culture?
Culture: the shared assumptions about “the way things are round here” (Schein)
Growing interest in the relationship between organisational culture, safety and continuous quality improvement.
Aston University findings: organisations with good HR management have better outcomes for patients and lower stress for clinical staff.
Ongoing IHI research: correlating leadership dimensions with safety quality indicators and continuous quality improvement orientation.
Culture surveys in 1000 Lives Plus

3. Leadership and “public narrative”
Story of self
Call to leadership
purpose
community
Patient
stories
Address Culture
Story of now
Strategy and action
Story of us
shared values
and experience
Marshall Ganz: Why stories matter. The art and craft of social change (on line article adapted from presentation).
A leadership story is first a story of self, a story of why I’ve been called. Some people say, “I don’t want to talk about myself”, but if you don’t interpret for others your calling and your reason for doing what you are doing, do you think it will just stay uninterpreted? No. Other people will interpret it for you. You don’t have any choice if you want to be a leader. You have to claim authorship of your story and learn to tell it to others so they can understand the values that move you to act, because it might move them to act as well.
We all have a story of self. What is utterly unique about each of us is not the categories we belong to: what is utterly unique is our own journey of learning to be a full human being, a faithful person. And those journeys are never easy. They have their challenges, their obstacles, their crises. We learn to overcome them and because of that we have lessons to teach. In a sense, all of us walk around with a text from which to teach, the text of our own lives.
The second story is the story of us. That’s an answer to the question. Why are we called? What experiences and values do we share as a community that call us to what we are called to do? What is it about our experience of faith, public life, the pain of the world, and the hopefulness of the world? Its putting what we share into words. We’ve all been in places where people have worked together for years, but there’s no us there because they don’t share their stories. Faith traditions are grand stories of us. They teach us how to be an us.
Finally there is the story of now – the fierce urgency of now. The story of now is realising, after the sharing of values and aspirations, that the world out there is not as it ought to be. Instead, it is as it is. And that is a challenge to us. We need to appreciate the challenge and the conflict between the values by which we wish the world lived and and the values by which it actually does. The difference between those two creates tension. It forces upon us a consideration of a choice. What do we do about that? We’re called to answer the question in a spirit of hope.
Our goal is to meet this challenge, to sieze this hope and turn it into concrete action. After developing our stories of self, then we work on building relationships, which forms the story of us. From there we turn to strategising and action, working together to achieve a common purpose, learning to experience hope – that’s the story of now.
urgency
Marshall Ganz
Culture surveys in 1000 Lives Plus

4. Why did we use surveys? Not for benchmarking or comparison…
Not for action planning…
To generate conversations about culture and how to improve it, and to stimulate practical actions at all level.
Culture surveys in 1000 Lives Plus

5. Culture surveys in the 1000 Lives Campaign
GP practice survey (on-line)
LHB staff survey (on-line)
Trust staff survey (paper-based)
Culture surveys in 1000 Lives Plus

6. GP practice participation in 2008 survey
Culture surveys in 1000 Lives Plus

7. Response rates in participating Practices 2008
Culture surveys in 1000 Lives Plus

8. GP survey 2008 – what they said…
“It was a useful tool that highlighted things about the Practice that we did not previously know”.
“There was a real value in including ALL staff in the process”.
“The report was useful for in-house teaching sessions” (e.g. on incident reporting).
“We would like to do the survey again”.
Culture surveys in 1000 Lives Plus

9. Culture Surveys 2011 GP practice survey (online)
Health Board employee survey (online with hard copy option).
Culture surveys in 1000 Lives Plus

10. Employee survey response rates at 15th April….
Health Board
Start Date
planned Closing Date
Revised Closing Date
Current
Status
Response
Abertawe & Bro Morgannwg University
22/3/11
29/4/11
29th April
Live
2,095
Cardiff & Vale University
14/2/11
31st March
15th April
1,867
Betsi Cadwaladr University
Feb?
162
Cwm Taf
14th Feb
15th Apr
338
Hywel Dda
18th Apr
561
Powys
11th Apr
Closed
165
Aneurin Bevan
1/2/11
8th Apr
1546
Velindre
16th Feb
16th March
157
WAST
14th March
477
PHW
1st April
193
Culture surveys in 1000 Lives Plus

11. When will we get results?
GP reports available by 16th May
Employee reports available by 20th May
Culture surveys in 1000 Lives Plus

12. What next
We will be preparing national level communications that you can adapt locally.
All organisations will be have access to a tool to drill down into response patterns where numbers allow.
There are many forums and communication methods where key points from findings might be used..
Are you ready to capitalise on the opportunity?..
Culture surveys in 1000 Lives Plus